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California rates for HCPCS 99211

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $23 · 10th–90th $9$1780%10%10th90th$23Professionalmedian $26 · 10th–90th $9$690%10%10th90th$26$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $97.72 / $380.19
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$100.00 / $151.36 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $24.55 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $32.36 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $22.39 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.91 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $25.12 / $41.69
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $89.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $151.36 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $42.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $23.44 / $44.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $218.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $32.36 / $724.44
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.90 / $72.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $23.99 / $51.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $75.86
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.79 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.50 / $46.77
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$20.89 / $27.54 / $79.43